经皮注射凝血酶治疗肾盂切开取石术后肾动脉假性动脉瘤：病例报告
Postpyelolithotomy renal artery pseudoaneurysm management with percutaneous thrombin injection: a case report.
作者信息
Gupta Vivek, Galwa Ramprakash, Khandelwal N, Bapuraj J R
机构信息
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, PGIMER, 3472, Sector 37-D, Chandigarh, 160012, India.
出版信息
Cardiovasc Intervent Radiol. 2008 Mar-Apr;31(2):422-6. doi: 10.1007/s00270-007-9194-3. Epub 2007 Oct 18.
Renal artery pseudoaneurysm leading to life-threatening hematuria can occur after a surgical procedure such as pyelolithotomy, albeit rarely. With recent advances in transarterial embolization techniques, this minimally invasive procedure has become the treatment of choice, replacing surgery. We present a case of massive hematuria due to renal artery pseudoaneurysm developing after pyelolithotomy that was managed with percutaneus thrombin injection directly into the pseudoaneurysm.
肾盂切开取石术等外科手术后虽很少见，但可发生导致危及生命的血尿的肾动脉假性动脉瘤。随着经动脉栓塞技术的最新进展，这种微创手术已成为首选治疗方法，取代了外科手术。我们报告一例肾盂切开取石术后发生肾动脉假性动脉瘤导致大量血尿的病例，该病例通过直接向假性动脉瘤内注射凝血酶进行经皮治疗。
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